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Quality Measurement Analyst, Santa Barbara, CA


CenCal Health

Professional

Santa Barbara, CA

September 23, 2019


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Quality Measurement Analyst

Administrative QUALI01176
Posted: June 24, 2019
Full-Time
Santa Barbara, CA, USA

Job Details

Description

  • Analytical support the Quality Measurement Department, including but not limited to, the design and creation of SQL data extract queries to obtain data and perform research necessary to advance clinical quality of care
  • Continuous collaboration with CenCal Health’s Quality Measurement and Clinical Quality Specialists teams, to provide analytical support to the development and implementation of clinical interventions to maximize quality of care and delivery of service
  • Configuration of quality measurement systems and software to execute routine quality measurement priorities
  • Configuration of quality measurement data files necessary to execute HEDIS, Gaps in Care, and P4P program reporting
  • Development, editing and analysis of reports used for QM and population health surveillance through Cognos
  • Collect primary source data to conduct data validation to assure the accuracy and reliability HEDIS, Gaps in Care, and Pay for Performance program reporting
  • Serve on various staff committees, teams and work groups as appropriate
  • Other duties as assigned

Qualifications

Education

Required

Bachelors or better in Health Administration or related field.

Experience

Required

Familiar with medical records, including collection of data from hardcopy records and various EMR systems
Ability to perform HEDIS medical record abstraction as needed
Familiar with business intelligence systems; e.g., Cognos
SQL programming proficiency
1 year: Managed care quality management setting experience or combination of academic and work experience

Preferred

Emphasis in Medicare or Medicaid/Medi-Cal managed care setting
Certified Professional in Healthcare Quality (CPHQ) or similar certification
Knowledge of HEDIS technical specifications

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